Internal Medicine Consult NP - No Inbox

Overview

Unity Center for Behavioral Health is a collaboration between area hospitals and provides 24-hour mental and behavioral health services in Portland, Oregon. As a nurse practitioner at Unity, you will be employed by Legacy Health. Their mission statement is Good health for our people, our patients, our communities, and our world.

Unity's internal medicine consult service works in collaboration with the primary psychiatric team to diagnose and manage co-occurring medical illness within hospitalized psychiatric patients. (Note: this is a medical nurse practitioner role, not a psychiatric nurse practitioner role).

Our team is excited to be expanding; we are urgently hiring part-time nurse practitioners to join our close-knit service.

This is a unique position that blends aspects of hospitalist, primary care, and urgent care provider roles. We do not have any admitting or discharge responsibilities. Our work is completed during our scheduled shift, there is no inbox to address outside of our scheduled hours.

Responsibilities:

• Advising the primary psychiatric team regarding care for chronic and episodic medical health concerns and formulating related plans of care

• Triaging medical consults and autonomously rounding on patients across the adult, adolescent*, emergency psychiatric, and emergency substance use disorder units

• Performing routine medical history and physical exams

• Chart review, physical assessment, diagnosis and management of internal medicine conditions such as diabetes, heart failure, hypertension, chronic kidney disease, basic integumentary conditions, falls, headaches, musculoskeletal pain, altered mental status with concern for primary medical etiology

• Responding to consult requests and questions via office phone, EPIC chat, and pager

• Ordering and interpreting diagnostic tests to identify and assess patients' health care needs

• Ordering medications for physical ailments

• Documentation of pertinent health information using EPIC EMR

• Determination of level of care warranted according to the Unity Medical Exclusion Criteria

• Leading BLS-level response to medical codes together with psychiatric staff

• Engaging in multidisciplinary complex medical case discussions

• Supporting care coordination for medical transfers to partner hospitals

• Seeking clinical decision-making support, when required, from the hospitalist physician team at Legacy Emanuel Medical Center, and subspecialists across the Legacy and OHSU networks

Additional information:

• Seeking provider for 0.6 FTE (average 24 hours/week over 13-week quarter)

• Flexible schedule: 9-hour day shifts (0800-1700), rotating weekends and holidays, opportunity for stretches of several days off without use of vacation days (APL)

• Variable patient load based on number of consults; average 7-10 patients a shift, including a mix of new consults, follow-up visits, and chart checks

• Collaborative role with on-shift clinicians dividing the daily patient load and partnering on challenging cases as needed

• Opportunity to spend extended time with patients (>1 hour common) and see patients several days if not weeks in a row

• BLS facility, with a matching level of acuity (e.g., no tubes/lines/drains, imaging, advanced procedures)

• Numerous safety precautions in place to allow for care of a complex patient population, including secured units and a robust 24/7 security presence on-site

• HRSA designated site with the potential for related loan repayment

• Work life balance with no panel or patient inbox responsibilities; ability to feel totally free from work on days off

LICENSURE/CERTIFICATION REQUIREMENTS:

• National Certification as a Nurse Practitioner (NP) in applicable specialty (e.g., FNP, ANP, AGACNP)

• Current Oregon State license as a Nurse Practitioner (APRN) with Prescriptive Privileges (NP-PP)

• Current Oregon State RN license

• Basic Life Support (BLS) certification

• Must be DEA eligible upon hire

• *Certification to treat adolescent patients (ages 9-17) in addition to adult patients is preferred, but not required

• *Experience with medical management of patients in roles such as primary care, internal medicine, hospitalist, urgent care, emergency medicine, or intensive care, is preferred but not required.

Benefits of Working for Legacy

• A nonprofit that serves the community

• Community leader in providing healthcare and healthcare related services to the underserved

• Full compensation and benefits package to include competitive salary, relocation assistance, CME allowance, full medical plan, malpractice coverage, retirement and much more.

Legacy's Values in Action: Follows guidelines set forth in Legacy's Values in Action.

Equal Opportunity Employer/Vet/Disabled. Sorry, no J1 or H-1B visa opportunities.

For additional information please formally apply or contact Forrest Brown at FOBROWN@LHS.ORG

Pay Range

USD $58.30 - USD $86.87 /Hr.